A report from the Comptroller revealed that $13.955 million would have been lost due to alleged irregularities in traffic accident claims in which there was no SOAT.
The findings were the result of an audit process in the periods 2018 to July 2021 of the Administrator of the Resources of the General System of Social Security in Health (ADDRESS). This entity covers the expenses of health providers who attend to accident victims without SOATfor cases of ghost cars or on the run.
According to the control entity, the largest tax finding, for $7,583 million, has to do with the fact that resources were not recovered in “non-SOAT” claims that the ADRES had disbursed 16 IPS. One of them, the Jaller Clinic, in Barranquilla, which concentrates most of this portfolio, with $7,438 million.
Other irregularities have to do with alleged double severance payments for deceased, as well as claims for ambulance transport expenses for the same user and accident, but with different filing dates.
Regarding the findings with a disciplinary incidence, the control body determined that the fact that there is a small group of health providers that concentrate the claims to the ADRES for traffic accidents in places where there was no SOAT.
The behavior of these cases – in Atlántico, Bolívar, Córdoba and Valle – would not obey the dynamics of the health system, and for this reason it is an alert for the Comptroller’s Office.
